Individual
BRIAN DAVID GRADWOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1277 MERCY DR, MUSKEGON, MI 49444-4605
(231) 672-6568
Mailing address
1277 MERCY DR, MUSKEGON, MI 49444-4605
(231) 672-6568
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
01/13/2022
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